Provider Demographics
NPI:1457141079
Name:LJR WELLNESS CONSULTING SERVICES
Entity type:Organization
Organization Name:LJR WELLNESS CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RUTKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:231-248-8825
Mailing Address - Street 1:600 E BROADWAY ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2776
Mailing Address - Country:US
Mailing Address - Phone:231-846-8825
Mailing Address - Fax:231-846-8825
Practice Address - Street 1:600 E BROADWAY ST STE 207
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2776
Practice Address - Country:US
Practice Address - Phone:231-846-8825
Practice Address - Fax:231-846-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty